Neurology

Anthony A. Amato, Michael G. Hanna, Pedro M. Machado, Umesh A. Badrising, View ORCID ProfileHector Chinoy, Olivier Benveniste, Ananda Krishna Karanam, Min Wu, L?szl? B. Tank?, Agnes Annette Schubert-Tennigkeit, Dimitris A. Papanicolaou, Thomas E. Lloyd, Merrilee Needham, Christina Liang, Katrina A. Reardon, Marianne de Visser, Dana P. Ascherman, Richard J. Barohn, View ORCID ProfileMazen M. Dimachkie, James A.L. Miller, John T. Kissel, View ORCID ProfileBj?rn Oskarsson, Nanette C. Joyce, Peter Van den Bergh, Jonathan Baets, Jan L. De Bleecker, Chafic Karam, William S. David, View ORCID ProfileMassimiliano Mirabella, Sharon P. Nations, Hans H. Jung, Elena Pegoraro, Lorenzo Maggi, Carmelo Rodolico, Massimiliano Filosto, Aziz I. Shaibani, Kumaraswamy Sivakumar, Namita A. Goyal, Madoka Mori-Yoshimura, Satoshi Yamashita, Naoki Suzuki, Masashi Aoki, Masahisa Katsuno, Hirokazu Morihata, Kenya Murata, Hiroyuki Nodera, Ichizo Nishino, Carla D. Romano,Valerie S.L. Williams, John Vissing, Lixin Zhang Auberson, on behalf of the RESILIENT Study Extension Grou

doi : 10.1212/WNL.0000000000011626

March 23, 2021; 96 (12)

Objective To assess long-term (2 years) effects of bimagrumab in participants with sporadic inclusion body myositis (sIBM).

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Association of Early ?-Amyloid Accumulation and Neuroinflammation Measured With [11C]PBR28 in Elderly Individuals Without Dementia

Sini Toppala, Laura L. Ekblad,Jouni Tuisku, Semi Helin, Jarkko J. Johansson, Hanna Laine, Eliisa L?yttyniemi, P?ivi Marjam?ki, Kaj Blennow, Henrik Zetterberg, Antti Jula, Matti Viitanen, Juha O. Rinne

doi : 10.1212/WNL.0000000000011612

March 23, 2021; 96 (12)

Objective To examine whether early ?–amyloid (A?) accumulation and metabolic risk factors are associated with neuroinflammation in elderly individuals without dementia.

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Association of Dementia-Related Psychosis With Long-term Care Use and Death

James B. Wetmore, Yi Peng, Heng Yan, Suying Li, Muna Irfan, Andrew Shim, Nicholas S. Roetker, Victor Abler, Nazia Rashid, David T. Gilbertson

doi : 10.1212/WNL.0000000000011632

March 23, 2021; 96 (12)

Objective To determine the association of dementia-related psychosis (DRP) with death and use of long-term care (LTC); we hypothesized that DRP would be associated with increased risk of death and use of LTC in patients with dementia.

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Longitudinal Accumulation of Cerebral Microhemorrhages in Dominantly Inherited Alzheimer Disease

Nelly Joseph-Mathurin, Guoqiao Wang, Kejal Kantarci, Clifford R. Jack, Eric McDade, Jason Hassenstab, Tyler M. Blazey, Brian A. Gordon, Yi Su, Gengsheng Chen, Parinaz Massoumzadeh, Russ C. Hornbeck, Ricardo F. Allegri, Beau M. Ances, Sarah B. Berman, Adam M. Brickman, William S. Brooks,David M. Cash, Jasmeer P. Chhatwal, Helena C. Chui, Stephen Correia,Carlos Cruchaga, Martin R. Farlow, Nick C. Fox,Michael Fulham, Bernardino Ghetti, Neill R. Graff-Radford, Keith A. Johnson,Celeste M. Karch, Christoph Laske, Athene K.W. Lee, Johannes Levin, Colin L. Masters, James M. Noble, Antoinette O'Connor, Richard J. Perrin, Gregory M. Preboske, John M. Ringman, Christopher C. Rowe, Stephen Salloway, Andrew J. Saykin,Peter R. Schofield, Hiroyuki Shimada, Mikio Shoji, Kazushi Suzuki, Victor L. Villemagne, Chengjie Xiong, Igor Yakushev, John C. MorrisRandall J. Bateman, Tammie L.S. Benzinger, on behalf of the Dominantly Inherited Alzheimer Network

doi : 10.1212/WNL.0000000000011542

March 23, 2021; 96 (12)

Objective To investigate the inherent clinical risks associated with the presence of cerebral microhemorrhages (CMHs) or cerebral microbleeds and characterize individuals at high risk for developing hemorrhagic amyloid-related imaging abnormality (ARIA-H), we longitudinally evaluated families with dominantly inherited Alzheimer disease (DIAD).

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Lacunes, Microinfarcts, and Vascular Dysfunction in Cerebral Amyloid Angiopathy

Elif Gokcal, Mitchell J. Horn, Susanne J. van Veluw, Aina Frau-Pascual, Alvin S. Das, Marco Pasi,Panagiotis Fotiadis, Andrew D. Warren, Kristin Schwab, Jonathan Rosand, Anand Viswanathan, Jonathan R. Polimeni, Steven M. Greenberg, M. Edip Gurol

doi : 10.1212/WNL.0000000000011631

March 23, 2021; 96 (12)

Objective To analyze the relationship of lacunes with cortical cerebral microinfarcts (CMIs), to assess their association with vascular dysfunction, and to evaluate their effect on the risk of incident intracerebral hemorrhage (ICH) in cerebral amyloid angiopathy (CAA).

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Stroke, Timing of Atrial Fibrillation Diagnosis, and Risk of Death

Anjali Bhatla, Yuliya Borovskiy, Ronit Katz,Matthew C. Hyman, Parin J. Patel, Jeffrey Arkles, David J. Callans, Neel Chokshi, Sanjay Dixit, Andrew E. Epstein, David S. Frankel, Fermin C. Garcia, Ramanan Kumareswaran, Jackson J. Liang, David Lin, Steven R. Messé, Saman Nazarian, Michael P. Riley, Pasquale Santangeli, Robert D. Schaller, Gregory E. Supple, Scott E. Kasner, Francis Marchlinski, Rajat Deo

doi : 10.1212/WNL.0000000000011633

March 23, 2021; 96 (12)

Objective To evaluate the prognosis of patients with ischemic stroke according to the timing of an atrial fibrillation (AF) diagnosis, we created an inception cohort of incident stroke events and compared the risk of death between patients with stroke with (1) sinus rhythm, (2) known AF (KAF), and (3) AF diagnosed after stroke (AFDAS).

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Variability of FP-CIT PET Patterns Associated With Clinical Features of Multiple System Atrophy

Reeree Lee, Jung Hwan Shin, Hongyoon Choi,Han-Joon Kim, Gi Jeong Cheon, Beomseok Jeon

doi : 10.1212/WNL.0000000000011634

March 23, 2021; 96 (12)

Objective To validate the role of the dopamine transporter (DAT) imaging as a biomarker in multiple system atrophy (MSA), we analyzed the association between spatial patterns of [18F]fluoro-propyl-carbomethoxy-iodophenyl-tropane ([18F]FP-CIT) PET and the clinical characteristics of MSA.

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Tumor Necrosis Factor Inhibition and Parkinson Disease

View ORCID ProfileXiaoying Kang, Alexander Ploner, Nancy L. Pedersen, Sara Bandres-Ciga, Alastair J. Noyce, Karin Wirdefeldt, Dylan M. Williams

doi : 10.1212/WNL.0000000000011630

March 23, 2021; 96 (12)

Objective To evaluate the effects of long-term tumor necrosis factor (TNF) inhibition on the risk and age at onset of Parkinson disease (PD), we performed a 2-sample Mendelian randomization study using genome-wide association studies (GWAS) summary statistics.

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Association of Group A Streptococcus Exposure and Exacerbations of Chronic Tic Disorders

Davide Martino, Anette Schrag, Zacharias Anastasiou, Alan Apter, Noa Benaroya-Milstein, Maura Buttiglione, Francesco Cardona, Roberta Creti, Androulla Efstratiou, Tammy Hedderly, Isobel Heyman, Chaim Huyser, Marcos Madruga,Pablo Mir, Astrid Morer, Nanette Mol Debes, Natalie Moll, Norbert Müller, Kirsten Müller-Vahl, Alexander Munchau, Peter Nagy, Kerstin Jessica Plessen, Cesare Porcelli, Renata Rizzo, Veit Roessner, Jaana Schnell, Markus Schwarz, Liselotte Skov, Tamar Steinberg, Zsanett Tarnok,Susanne Walitza, Andrea Dietrich, Pieter J. Hoekstra, ; on behalf of the EMTICS Collaborative Group

doi : 10.1212/WNL.0000000000011610

March 23, 2021; 96 (12)

Objective To examine prospectively the association between group A Streptococcus (GAS) pharyngeal exposures and exacerbations of tics in a large multicenter population of youth with chronic tic disorders (CTD) across Europe.

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What's Happening in Neurology® Clinical Practice

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doi : 10.1212/WNL.0000000000011643

March 23, 2021; 96 (12)

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What's Happening in Neurology® Neuroimmunology & Neuroinflammation

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doi : 10.1212/WNL.0000000000011644

March 23, 2021; 96 (12)

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What's Happening in Neurology Without Borders

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doi : 10.1212/WNL.0000000000011646

March 23, 2021; 96 (12)

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Funding the Educational Mission in Neurology

David M. Greer, Jeremy Moeller, Diego R. Torres, Madhu Soni, Salvador Cruz, Letitia Tornes, Huned Patwa, Laurie Gutmann, Ralph Sacco, Steven Galetta

doi : 10.1212/WNL.0000000000011635

March 23, 2021; 96 (12)

Although it is self-evident that education in neurology is important and necessary, how to fund the educational mission is a frequent challenge for neurology departments and clinicians. Department chairs often resort to a piecemeal approach, cobbling together funding for educators from various sources, but frequently falling short. Here, we review the various sources available to fund the educational mission in neurology, understanding that not every department will have access to every source. We describe the multiple different teaching models and formats used by the modern student and educator and their associated costs, some of which are exorbitant. We discuss possible nonfinancial incentives, including pathways to promotion, educational research, and other awards and recognition. Neurological education is commonly underfunded, and departments and institutions must be nimble and creative in finding ways to fund the time and effort of educators.

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